This paper explores the integration of faith and spirituality in the context of pathophysiology and chronic illness. It discusses the patient's views on chronic illness, recommendations for addressing spiritual needs, and the reflection of the author's own spirituality in providing care.
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PATHOPHYSIOLOGY FAITH INTEGRATION PAPER2 Pathophysiology faith Integration paper Introduction Spirituality is defined differently among different people. It can either mean faith or things that offer a sense of personal meaning in life as well as death. Whenever offering care to the patients, studies recommend that spiritual needs should always be on the forefront. The same study reckon that chronic diseases like cancer alter the meaning, values and faith of the patient in most cases ("Hospital Chaplaincy in the Twenty-First Century: The Crisis of Spiritual Care on the NHS," 2010). In order to address the chronic conditions, it is essential that spiritual needs are addressed. This is because addressing the spiritual needs makes the patient accept the situation and deal with it positively. Addressing spiritual needs is therefore the secret weapon in handling patients with chronic conditions. Within the framework of this essay, there will be an illustration of how a patient I provided an assessment view chronic illness, the recommendations on the patient’s spiritual needs and finally, a reflection on my own spirituality and how it applies when providing care to the patient. How the patient views chronic illness I settled to conduct an assessment to a patient who was suffering from end stage cancer of the lungs. The patient had very unique perceptions about the condition and life in general. First the patient felt that the chronic condition or the lung cancer cannot heal unless there is a miracle. The patient also noted that the chronic condition is likely to negatively affect him and his entire family due to depression. About general life, the patient claimed that once he was diagnosed with the chronic condition, he felt that there was no need to live. Generally, the patient had no hope that life would bring something good.
PATHOPHYSIOLOGY FAITH INTEGRATION PAPER3 Recommendations on patients spiritual needs There are different recommendations that I would advocate for the patients spiritual needs. First, I will encourage the patient to pray or pray with him as well. According to research, many patients with chronic conditions will always ask for prayers. The same studies explain that prayer helps to connect with spiritual dimension (Ross et al., 2016). Therefore, in case a patient asks for a prayer, I would adapt the prayer to meet the patients’ needs and beliefs. For my case, the patient was suffering from lung cancer and I would therefore modify the prayer to suit cancer. Furthermore, I would ask the patient what exactly he would like us to pray for and act according to his wishes. While catering for spiritual needs of patients suffering from chronic conditions like cancer, nurses should ensure that they tailor the prayers to specifically meet the patients’ needs or desires. Use of inspirational words and music would also work wonders in meeting the patient’s spiritual needs. According to recent surveys, patients suffering from chronic conditions like lung cancer would find comfort in reading sacred texts as well as inspirational quotes or texts. In this case, I would therefore inquire from the patient some of his favorable books then read out to him some of the inspirational quotes from the same books (Rodin et al., 2015). Furthermore, I would provide source of entertainment by asking the genre of music that the patient enjoys listening to. I can also go ahead and ask the family members to come along with the patient’s favorite playlist or CD player. Reflection on my own spirituality and how it applies on caring for the patient
PATHOPHYSIOLOGY FAITH INTEGRATION PAPER4 As a healthcare professional or nurse in particular, I believe that spirituality plays a critical role towards recovery when providing care to different patients. Personally, I have encountered several scenarios that confirm the same. In one instance, I came across a patient whose condition had totally deteriorated and was on the verge of death. Since my spirituality provides hope in times of despair, I tried my best to provide spiritual care to this patient who was almost dying. I therefore resort to making inquiry from the patient on what his church teach about end of life situations (Willemse, Smeets, Van Leeuwen, Janssen, & Foudraine, 2017). I also asked the patient about the role of pastoral care for the dying. The family indicated that the patient had abandoned his catholic faith sometimes back. However, since I acknowledge the importance of religion in such cases, I had to convince the family members to come along with a priest prior to surgery since this patient had been scheduled for surgery but he was so down spiritually. The following day, the catholic priest came in and celebrated the sacrament together with the patient. After that, the patient said that he felt more peaceful and comfortable (Zollfrank et al., 2015). From this encounter, I learnt that spirituality component is very important especially when providing end of life care. It is therefore important that nurses and all the stakeholders that provide care to patients to inquire and meet the patients spiritual needs during such hard moments. Conclusion Spiritual needs are things that offer meaning both in life and death. Sometimes it is good to reflect on our spirituality and apply the same to patients when providing care. Like in the case of my patient, some patients lose hope in life once diagnosed with chronic conditions. I would recommend encouraging prayer by both the patient and the caregiver. However, the prayer should be tailored to meet the patient’s needs. Use of inspirational readings and music can work
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PATHOPHYSIOLOGY FAITH INTEGRATION PAPER5 effectively as proposed by different studies. Spiritual needs play a critical role in ensuring the patient feels comfortable and at peace as they wait for their death. Therefore, it is the role of the nurses to conduct a spiritual assessment that will form the basis of providing care to the patients suffering from chronic conditions.
PATHOPHYSIOLOGY FAITH INTEGRATION PAPER6 References Hospital Chaplaincy in the Twenty-First Century: The Crisis of Spiritual Care on the NHS. (2010).Nursing Philosophy,11(2), 144-146. doi:10.1111/j.1466-769x.2009.00432.x Rodin,D., Balboni,M., Mitchell,C., Smith,P.T., VanderWeele,T.J., & Balboni,T.A. (2015). Whose role? Oncology practitioners’ perceptions of their role in providing spiritual care to advanced cancer patients.Supportive Care in Cancer,23(9), 2543- 2550. doi:10.1007/s00520-015-2611-2 Ross,L., Giske,T., Van Leeuwen,R., Baldacchino,D., McSherry,W., Narayanasamy,A., … Schep-Akkerman,A. (2016). Factors contributing to student nurses'/midwives' perceived competency in spiritual care.Nurse Education Today,36, 445-451. doi:10.1016/j.nedt.2015.10.005 Willemse,S., Smeets,W., Van Leeuwen,E., Janssen,L., & Foudraine,N. (2017). Spiritual Care in the ICU: Perspectives of Dutch Intensivists, ICU Nurses, and Spiritual Caregivers.Journal of Religion and Health,57(2), 583-595. doi:10.1007/s10943- 017-0457-2 Zollfrank,A.A., Trevino,K.M., Cadge,W., Balboni,M.J., Thiel,M.M., Fitchett,G., … Balboni,T.A. (2015). Teaching Health Care Providers To Provide Spiritual Care: A Pilot Study.Journal of Palliative Medicine,18(5), 408-414. doi:10.1089/jpm.2014.0306